雷帕霉素洗脱支架在腘动脉急性斑块事件中的应用4例

Application of rapamycin eluting stent in popliteal artery acute plaque events:a report of four cases

腘动脉中上段由急性斑块事件所致的短段病变可导致肢体的中重度缺血症状,但专业内关注少,少研究报道。本研究回顾分析使用雷帕霉素洗脱支架治疗腘动脉该类短段病变的效果。通过分析4例手术病例的特点、手术方式及随访结果以总结手术经验,评价治疗效果。4例病例手术操作时间短,术中顺利,技术成功率100%。术后随访支架血流良好,未发现移位、断裂、血管损伤等并发症,下肢血供改善满意。通过雷帕霉素洗脱支架植入治疗特定的腘动脉中上段病变可以取得良好的中远期效果。

Short segment lesions in the middle and upper segment of popliteal artery caused by acute plaque events can lead to moderate and severe limb ischemia,but there is little professional attention and research reports.The effect of rapamycin eluting stent in the treatment of short segment popliteal artery lesions was reviewed.The characteristics,operation methods and follow-up results of 4 cases were analyzed to summarize the operation experience and evaluate the treatment effect.In 4 cases,the operation time was short,the operation was smooth,and the technical success rate was 100%.The blood flow of the stent was good,no complications such as displacement,rupture and vascular injury were found,and the blood supply of the lower limbs was improved satisfactorily.Rapamycin eluting stent implantation can achieve good medium and long-term results in the treatment of specific middle and upper popliteal artery lesions.